Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender

作者：Israelsson Johan; Bremer Anders; Herlitz Johan; Axelsson Asa B; Cronberg Tobias; Djarv Therese; Kristofferzon Marja Leena; Larsson Ing Marie; Lilja Gisela; Sunnerhagen Katharina S; Wallin Ewa; Agren Susanna; Akerman Eva; Arestedt Kristofer

来源：Resuscitation, 2017, 114: 27-33.

DOI：10.1016/j.resuscitation.2017.02.006

• Anxiety
• Depression
• Health status
• Heart arrest
• Hospitals
• Gender

Aim: To describe health status and psychological distress among in -hospital cardiac arrest (IHCA) survivors in relation to gender.
Methods: This national register study consists of data from follow-up registration of IHCA survivors 3-6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS).
Results: Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQVAS among survivors were 0.78 (ql-q3 = 0.67-0.86) and 70 (ql -q3 = 50-80) respectively. The values were significantly lower (p < 0.001) in women compared to men. In addition, women reported more problems than men in all dimensions of EQ-5D-5L, except self -care. A majority of the respondents reported no problems with anxiety (85.4%) and/or symptoms of depression (87.0%). Women reported significantly more problems with anxiety (p < 0.001) and symptoms of depression (p < 0.001) compared to men. Gender was significantly associated with poorer health status and more psychological distress. No interaction effects for gender and age were found.
Conclusions: Although the majority of survivors reported acceptable health status and no psychological distress, a substantial proportion reported severe problems. Women reported worse health status and more psychological distress compared to men. Therefore, a higher proportion of women may be in need of support. Health care professionals should make efforts to identify health problems among survivors and offer individualised support when needed.

• 出版日期2017-5